Active NPI
Kent Michael McGinley, MD
- Anatomic Pathology & Clinical Pathology Physician
- Morristown, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 24492
- Practice address
- 908 W 4TH North St
Morristown, TN 37814-3894 - Phone
- (423) 492-9000
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 24492 | TN | Primary |
Addresses
Primary practice location
908 W 4TH North St
Morristown, TN 37814-3894
Mailing address
PO Box 415000
Nashville, TN 37241-8352
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q052965 | Medicaid | TN | |
| T30437 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- East Tennessee State University Quillen College of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10820 Parkside Dr
Knoxville, TN 37934-1956
Phone (865) 218-7011
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone (865) 471-2500
7565 Dannaher Dr
Powell, TN 37849-4029
Phone (865) 589-8000
908 W 4TH N St
Morristown, TN 37814-3894
Phone (423) 586-4231
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24492 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Tennessee Pathology, PLLC | Current | Accepting new patients |
Locations
5700 Southwyck Blvd
Toledo, OH 43614
908 W 4th North St
Morristown, TN 37814
Phone (423) 492-9000
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Morristown, TN
- NPI 1194011080
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tazewell, TN
- NPI 1942205166
-
- General Acute Care Hospital
- Newport, TN
- NPI 1972576247
-
- General Acute Care Hospital
- Powell, TN
- NPI 1043292899
-
- General Acute Care Hospital
- Morristown, TN
- NPI 1912997024
-
- General Acute Care Hospital
- Sweetwater, TN
- NPI 1366441370
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727222400000",
"number": "1578524989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 415000",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372418352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "908 W 4TH NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378143894",
"telephone_number": "423-492-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINLEY",
"first_name": "KENT",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2024-09-25",
"certification_date": "2024-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "24492",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q052965",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "T30437",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.